'I thought we would be nourished here': The complexity of nutrition/food and its relationship to mental health among Arab immigrants/refugees in Canada: The CAN-HEAL study.

Autor: Elshahat S; Department of Anthropology, Faculty of Social Sciences, McMaster University, Hamilton, ON, L8S 4L9, Canada. Electronic address: elshahas@mcmaster.ca., Moffat T; Department of Anthropology, Faculty of Social Sciences, McMaster University, Hamilton, ON, L8S 4L9, Canada., Iqbal BK; Department of Anthropology, Faculty of Social Sciences, McMaster University, Hamilton, ON, L8S 4L9, Canada., Newbold KB; School of Earth, Environment & Society, McMaster University, Hamilton, ON, L8S 4K1, Canada., Gagnon O; Department of Neuroscience, Faculty of Science, Carleton University, Ottawa, ON, K1S 5B6, Canada., Alkhawaldeh H; Faculty of Health Sciences, University of Ottawa, Ottawa, ON, K1N 6N5, Canada., Morshed M; Faculty of Health Sciences, McMaster University, Hamilton, ON, L8S 4L8, Canada., Madani K; Integrated Biomedical Engineering and Health Sciences Faculty, McMaster University, Hamilton, ON, L8S 4L8, Canada., Gehani M; Department of Psychological and Health Sciences, University of Toronto, Scarborough, ON, M1C 1A4, Canada., Zhu T; Department of Criminology & Sociolegal Studies, Faculty of Arts and Science, University of Toronto, Toronto, ON, M5S 1A1, Canada., Garabedian L; Department of Biomedical and Molecular Sciences, Faculty of Arts and Science, Queen's University, Kingston, ON, K7L 3N6, Canada., Belahlou Y; Faculty of Health Sciences, McMaster University, Hamilton, ON, L8S 4L8, Canada., Curtay SAH; School of Nursing, McMaster University, Hamilton, ON, L8S 4L8, Canada., Zhu IH; School of Food and Nutritional Sciences, University of Western Ontario, Brescia University College, London, ON, N6A 3K7, Canada., Chan C; School of Food and Nutritional Sciences, University of Western Ontario, Brescia University College, London, ON, N6A 3K7, Canada., Duzenli D; Department of Biology, Faculty of Science, McMaster University, Hamilton, ON, L8S 4L8, Canada., Rajapaksege N; Faculty of Health Sciences, McMaster University, Hamilton, ON, L8S 4L8, Canada., Shafiq B; School of Food and Nutritional Sciences, University of Western Ontario, Brescia University College, London, ON, N6A 3K7, Canada., Zaidi A; Department of Political Science, Faculty of Social Sciences, McMaster University, Hamilton, ON, L8S 4L8, Canada.
Jazyk: angličtina
Zdroj: Appetite [Appetite] 2024 Apr 01; Vol. 195, pp. 107226. Date of Electronic Publication: 2024 Jan 22.
DOI: 10.1016/j.appet.2024.107226
Abstrakt: Nutritional psychiatry suggests that diet quality impacts one's mental health (MH). The relationship between food/nutrition and MH may be particularly salient for immigrants/refugees who often experience high risk for household food insecurity and MH challenges. An innovative collaborative community-based participatory research and integrated knowledge translation approach was adopted to explore food/nutrition needs as they relate to MH among Arab immigrants/refuges (AIR) in Ontario, Canada. The goal was to co-identify areas that require social change and co-produce applicable knowledge for service improvement. The CAN-HEAL study used a multi-methodological approach, employing qualitative interviews, photovoice and a questionnaire survey. A combination of three sampling approaches (convenience, snowball and purposive) was used to recruit sixty socio-demographically-diverse adult AIR participants. The research was guided by an integrated bio-psycho-socio-cultural framework. Participants reported various socio-economic and structural barriers to nutritious eating. Food quality/safety was a significant concern and source of anxiety among AIR; food mislabeling, the widespread presence of genetically/chemically modified foods and expired/rotten food products were associated with negative MH. Participants experienced an alarming prevalence of food insecurity (65%), which was associated with negative MH. Intersections among age, gender, religion, socio-economic status, parenthood, disability, and place of residence played a considerable role in how nutrition, food security, and dietary intake impacted AIR's MH and caused substantial disparities within the AIR community. The food/nutrition-MH relationship among AIR is multi-faceted, and various psycho-socio-cultural pathways/processes were found to shape MH. Intersectoral collaboration between health and non-health sectors is needed to implement a co-proposed socio-political and community-level action plan to achieve nutrition and health equity for AIR and other similar marginalized groups.
Competing Interests: Declaration of competing interest None to declare.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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